Among the group of kids in the Oregon study, a staggering 64 percent of them tried it more than once and nearly 27 percent of them played it more than five times.

The game is known by several other monikers, including ‘Knock Out,’ ‘Space Monkey,’ ‘Flatlining’ and ‘The Fainting Game.’ And it’s pretty much what you think it is — players use various means to cut oxygen and brain flow to their necks in a quest to create a high that comes once they allow blood and oxygen to flow freely again.

The game, however, can be quite dangerous and deadly. Eighty-two children from ages 6 to 19 died from 1995 to 2007 as a result of playing it. The Centers for Disease Control reports, however, those are the only known deaths since they were gathered from media reports and often those types of deaths are ruled as suicides or accidents.

New Hampshire’s chief medical examiner Thomas Andrew said parents should be on the lookout for signs such as marks on their children’s necks and if they suspect they are involved in such behavior, they should talk to them and listen to what they have to say.

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